Gastroesophageal reflux disease other diagnostic studies: Difference between revisions
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Revision as of 17:29, 13 November 2017
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Gastroesophageal reflux disease Microchapters |
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Differentiating Gastroesophageal Reflux Disease from other Diseases |
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Diagnosis |
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Treatment |
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Case Studies |
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Gastroesophageal reflux disease other diagnostic studies On the Web |
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American Roentgen Ray Society Images of Gastroesophageal reflux disease other diagnostic studies |
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief:
Overview
Esophagogastroduodenoscopy
Clinical practice guidelines from the American College of Physicians in 2012 recommend esophagogastroduodenoscopy if:[1]
- Alarm symptoms
- Persistence of symptoms after treatment
- Barret's esophagus
However, espophagisitis may be found in asymptomatic patients.[2][3]
Other Diagnostic Studies
Other tests that may help include:
- 48 hour esophageal pH and symptom association probability (SAP)[4]
- Bernstein test (acid perfusion test).[5][6]
References
- ↑ Shaheen NJ, Weinberg DS, Denberg TD, Chou R, Qaseem A, Shekelle P; et al. (2012). "Upper endoscopy for gastroesophageal reflux disease: best practice advice from the clinical guidelines committee of the American College of Physicians". Ann Intern Med. 157 (11): 808–16. doi:10.7326/0003-4819-157-11-201212040-00008. PMID 23208168.
- ↑ Williams B, Luckas M, Ellingham JH, Dain A, Wicks AC (1988). "Do young patients with dyspepsia need investigation?". Lancet. 2 (8624): 1349–51. PMID 2904061.
- ↑ Johnsen R, Bernersen B, Straume B, Førde OH, Bostad L, Burhol PG (1991). "Prevalences of endoscopic and histological findings in subjects with and without dyspepsia". BMJ. 302 (6779): 749–52. PMC 1669538. PMID 2021764.
- ↑ Dent J, Vakil N, Jones R, Bytzer P, Schöning U, Halling K; et al. (2010). "Accuracy of the diagnosis of GORD by questionnaire, physicians and a trial of proton pump inhibitor treatment: the Diamond Study". Gut. 59 (6): 714–21. doi:10.1136/gut.2009.200063. PMID 20551454.
- ↑ Howard PJ, Maher L, Pryde A, Heading RC (1991). "Symptomatic gastro-oesophageal reflux, abnormal oesophageal acid exposure, and mucosal acid sensitivity are three separate, though related, aspects of gastro-oesophageal reflux disease". Gut. 32 (2): 128–32. PMC 1378792. PMID 1864528.
- ↑ Hewson EG, Dalton CB, Richter JE (1990). "Comparison of esophageal manometry, provocative testing, and ambulatory monitoring in patients with unexplained chest pain". Dig Dis Sci. 35 (3): 302–9. PMID 2307075.